# GRACE COUNSELING AND CONSULTING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235660853
- **Authorized official:** MR. DUSTIN PHELPS M.S. (CEO)
- **Authorized official phone:** (606) 637-3538

## Contact information

- **Practice address:** 138 KENT HAVEN DR, SOMERSET, KY 42503-6281
- **Practice address phone:** (606) 637-3538
- **Mailing address:** 138 KENT HAVEN DR, SOMERSET, KY 42503-6281
- **Mailing address phone:** (606) 637-3538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | KY-0085 | KY | Yes |

## Other

- **Enumeration date:** 03/24/2017
- **Last updated:** 03/24/2017